Competency and self-determination in elderly patients


Case Study:

Mrs. Jane Doe is a 80-year old, retired, widowed school teacher who has been living in an apartment at the FED Assisted Living Facility for 4 years. She was recently diagnosed with chronic renal failure. Her doctor is recommending dialysis. She has no family remaining but does have comfortable resources as she has lived frugally most of her life. She refuses to go along with this recommendation because her older sister has died while on dialysis with horrible side effects.
Helen's doctor insists that dialysis would improve the remainder of her life with no side effects. Although she does not want dialysis, she is aware that some of the staff are concerned that she may no longer be able to make good decisions and are trying to conceive her to agree to the dialysis.

What is your analysis of the various ethical considerations involved in this situation? How should the competing ethical considerations be resolved? Argue both sides of the issue, basing arguments on ethical theories and/or principles.

Your answer must be typed, double-spaced, Times New Roman font (size 12), one-inch margins on all sides, APA format.

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